Please complete the following guest card information:    Contact Information: *First Name *Last Name  Address  Address2  City  State / Zip / *Primary Phone  Secondary Phone *E-mail  Move In Information:  How did you hear about us? -Please Select a Channel- 4Walls.com Apartment Guide Print Apartment Showcase Apartment Showcase Print ApartmentGuide.com Apartments.com Banner Campaign Billboard Brochure/Flyer Chamber Of Commerce Comcast Corporate Housing Corporate Outreach Program Corporate Website Craigslist Direct Mail Drive By Email Blast Facebook.com ForRent.com Internal Transfer Level One Locator / Broker / Realtor Management Maintained Military Publication MyNewPlace.com PeopleWithPets.com PEP Property Website Referral Rent.com Resident Referral Roommates.com Subsidized Housing Vaultware Washington Post Washington Post Apt Living WashingtonPost.com Word Of Mouth Yahoo.com Yellow Pages Other Other source:  Desired lease length Undecided 6 months 9 months 12 months 1+ years Other Other Lease Length:  Number of bedrooms Undecided Studio/Efficiency 1 Bedroom 2 Bedrooms 3+ Bedrooms  Number of bathrooms Undecided 1 Bathrooms 2 Bathrooms 3+ Bathrooms  Number of occupants Undecided 1 occupant 2 occupants 3+ occupants *Desired move in date      I have pets Cats: 0 1 2+ Dogs: 0 1 2+ Other: 0 1 2+  I would like additional information about: PetsSchools Lease TermsUtilities Security and Deposit Amenities - Floor Plan ParkingAmenities - Community  Would you like to set an appointment with us? Yes, lets make an appointment to further discuss my needs.   On what date?   1 2 3 4 5 6 7 8 9 10 11 12 00 15 30 45 AM PM Is there any thing specific you would like to discuss?    Would you like us to send you a reminder about your appointment? Yes, please send me a text message or email reminder No thanks.   Send me a reminder? 1 2 3 4 5 6 7 8 9 10 11 12 00 15 30 45 AM PM Email Reminder TXT Message to Cell Phone Both Email and TXT Message Email Address: Cell Phone Number: Cell Carrier: Alltell AT&T Metro PCS Nextel Sprint PCS SunCom T-Mobile Verizon Wireless Virgin Mobile VoiceStream Additional Email Text: Characters Left: 120  Comments: * Required field

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The Palatine, LLC reserves the right to change features and amenities without notice. Room dimensions and square footages are measured and are approximate. Renters who are concerned with more exact dimensions and square footages are encouraged to take their own measurements before entering into a lease. Locations and layouts may vary. Renderings, photographs, floor plans, amenities, upgrades and other information described are representational only, and all features and amenities are subject to change at the owner’s sole discretion, without notice. Models do not reflect racial preference. Each property is individually owned by a single purpose entity.